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Home My WebLink About18883-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offic9 of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19470 Date OCT. 23, 1990 THIS CERTIFIES that the building Location of Propert~ 6175 OREGON RD. House No. Street County Tax Map No. 1000 Section 95 Block 01 Subdivision Filed Map No. ALTERATION CUTCHOGUE Lot Lot No. Hamlet 04 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14~ 1990 pursuant to which Building Permit No. 18883Z dated MARCH 16~ 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is INSTALL SLIDING DOOR IN AN EXISTING ONE FAMILY DWELLING. The certificate is issued to ROBERT SCHREIBER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N139261 JULY 6~ 1990 N/A ?ld~ng Inspector TOV/N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N*_ 18883 Z County Tax Map No. 1000 Section .......... .~...~..... Block ........... ./.. ....... Lot No ........... . ..~... ....... pursuant to application dated ...... ...~....././....~.. ................................. , 19..~...~.., and approved by the Building Inspector. Fee $. ~..~..~.. Rev. 6/30/80 Form No. 6 TOkrN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application'must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept.-of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains ~ less than 2/10 of 1% lead. 5. Commercial building, indus, trial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. .~ 6. Submit Planning Board Approval of completed site plan requirements. : B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~ "pre-existing" land uses: 1. Accurate survey of property showing ali property lines, streets, building and · unusual natural or topographic features. ~ 2. A properly completed application and a consent to inspect signed by the applicant. 7 If a Certificate of Occupancy is denied, the Building Inspector shall state the , ~ reasons therefor in writing to the applicant. ~[ Fees ~ 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 ~. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. House No. ~treet Hamlet Onwer or Owners of Property.~.~c%~...%q~$~,.~.~,~ ........................................ County Tax Map No 1000, Section..,~5 ........ Block .... ~ .......... Lot...~. SubdiVision ' .................................... Filed Map ............ Lot ...................... Permit Noj.%.~.~ ..... Date Of Permit..~]J~.!~.Q ..... cant ~ealth Dept. Approval ..... ~1~. ..... ~-o~_ ............ Underwriters Approval ............. Planning Boa d Approval ' Request 'for: .Temporary Certificate ........... Final~e.~/ TOWN OF SOUTtIOLD OFFI(~I'~ OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOU'I'IIOLD, N.Y. 11971 June 28. 1990 glqVlROlfl'lgl~ff FAST INC. 3075 INDI/~ NECK LANE PECONIC, N.Y. 11958 R~: ROBERT $CNR~IBER TEL. 765-1802 To Whom %his.May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_--//An application for Certificate of Occupancy is not on file. (ENCLOSED) /_~/,/]I,o Underwriters C¢:rtificnte on file. /L// Ihe check .~'~;(~ot on file.) $25.00 /~/ No }lealth Dept. Approval on file. /-'/ No ~' ~ _ ~na~ insF, ection has been made. Please contact our office Thank you for your cooperation. I'h~ilding Permit ti I 8 8 8 3 Z Building Dept. *~'*/_--/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) on this matter. FOUNDATION ( ls t) FOUNDATIO,'; (2nd) m / /I ~" ~ ROUGH FRAME & ·PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ~'~' ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] INSU~.ATION FRAMING [/--~]~1NAL .sapproved a/c ......... FORM NO· 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.; 765-1803 APPLICATION FOR BUILDING PERMIT. BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ..; ............... ' .... SEPTIC FORM ................ MAiL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. · b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets I areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tNis appli- {ion. , c. The work covered by tiffs application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit LII be kept on the premises available for inspection throughout the work. e. No building shall be' occupie~l, or used in whole or in part .for a~y purpose whatever until a Certificate of Occupancy ill hffge been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. e applicant agrees to comply with all applica61e laws, ordinances, b. uilding code, housing code, and regulations, and to nit authorized inspectors on p. re~icg~gnd~ifhbuilding for necessary i~}spections (SignaB!re ,of ~,pplicant, qr name, if a corporanon) ................ '{ .... t . . ........... (Mailing address of applicant) ~te whether appl[q%~t~,.~ow, ner,~ lessee'/ agent, architect, engineer, general contractor, electrician plumber or builder. ...... ~}~ ....... ~ ·: ..... ...................................................... 0 .'" ' (as on the tax roll or latest deed) ]pphcant is a corpo*i;]ftGn;:sigiiatur,.~,gLd~lgmu~thorized officer. Builder's License No .......................... Plumber's License No ..... .NJ./~. .............. Electrician's License No ...... / ................ Other Trade's License No ...................... Location of land on which proposed work will be done ' ' . [louse Number ~ Stre~x ' ' ' Ha~nlet County Tax MapNo. 1000 Section .. ......... . c ..... .... ........ Lot. ............... Subdivision F~lcd Map No Lot (Name) ' State existing use and occupancy of premises and intended use and occupancy of proposed construction: .....;;];. ........., .............. .............................. 3. Nature of work (check which ¢pplicable): Ne~v Building ..... ' ..... Addition .......... ~ll~liat~ollm~:.. ~ .... Repair .............. Removal .. t' t ......... Demol,non ., . Other~tl~ /~ 2.ODO. O-O i' ' l,qstatt he3,. cleo L¢~+~Description) 4. Est!mate'd Cost .................... ~.~:., ....... Fee $. · ' ; /d/A-. (to be paid on filing this application) If dwelhng, nmnber of dwelling units .............. Number of dwelling units on each floor ......... , ..... If garage numberofears ...'. ' ' ' ' '"': .............. ................ :filliP: .......... 6. If business, commercml or mixed occupancy, speedy nature and extent, of each type of use ...... ,,. Dimensions of existing structures, if any: Front.. ~ ' 7. }~.o,, .' Rdhr ........... ,., Depth , ,, ,,, ,.,,,,,,, , }l~ll~ht ,,,,,,,,,,,,,,,N~tl~t~r~fSg0rt011,,,,,,,,,,,,,,,,,,,, ..... , ....................... _Dimensions of same structure with alterations or additions: Front .. ~ ?. C~'~'~) . po-,. ...... · · · ' lie t · ~;' '' '¥~L~J'.- ...................... ~_pt~h_~.: ..../{~11/ ~'~, . gh ........... ; ......... ~{Number of Stones ...... ,-.,,.~-~,ons m eram~ new construction Front...~.o. Ce/~t~oA ,,~2~ ,. .' ............... · ' , ......... O ' sxu ~ .......... IJe ~H. eight .. ~ ............ Number of Stones .......... . I!{ .. P .............. 9. Size of lot. Front .......... ; ...... Rea ....... ~,i~ ...... ~,].~ .................... Date of Purchase ' r .......... ~.,, ....... ~},,, ...................... ..... ' '. .... . ....;. · .. ........ . ........ Name of Former Owner z~one or use restrict m whxch premises are situated -~' ¢~ ~'cke,,x ~-,~[ · ' .......................... Does re osed ' . . . · ................. , ...... _P~ .P construct:on Vm)at%alw zoning law, ordinance or regulation: .. ~ .o... ............ wmiotoereeraaed . {uo. . ..... · · · · · ., ..... x~__ _.- ... ~' o ,' oL'C ' 'L' ~'_:~' ' · :," 'z ·., wui excess fill be removed from premises: Yes No · ,'",,~ ,--,~r~.l~ec~ ................. Aaa,-o~. '--~W.U,~W-~. ~'-4 .... ' ............. Narno of Contractor .~Y~.y. ,.;,a~,¢...~.c~-~ ~v~C. ^~ ..... ~7~ ~-~_~--~ ~Jek/< _ ,.. ,.~:- __~ ..... ~_ . .,:. :% ....... ~uu,~:aa . ¢'.e~o~ .~>./~.'.~, .... Phone No..-/.3.5. · .-..~., ,-,,~.n F~.up~:cy ~.oearea wa. tha. nXO0 feet of a tidal Wetland? *YES .... NO.-~'.. '' alt yes, Southold Tow~ Trustees Permit may be required. ; PLOT DIAG RAM Locate clearly and d:stmctly all~ buildings, whether ex/sting or proposed, and. indicate all set-back dimensions fro~ ropei'ty lines. Give street and blockinumber or description according to deed, and show street names and indicate whether ~terior or comer lot. . APPROVED A~ NOTED 4. FINAL CONSTRUC~N MU~ BE COMPLETE FOR C.O. ALL CONSTRUCTION ~ THE REQUIREMEN~ OF ~ STA~ CONS~U~ON ~ ~y CODES. N~ RES~N~ ~. .'~TE OF NEW YQRrgr- , ,. S S UNTY OF... ~ E,','!:9.\,c~, ,~, .. ,' ' ~J~ ................. ' .... being duly sworn, deposes ~d says that ile is the applicant (Name of individual signin contract) ,ye named. ...................... ,, ;; 5' .' e . .aid owner or owners, ~d is duly authorized to p~rform or have performed the said work and to m~e and file this lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the k will be performed in the re=net set forth m the application Oled therewith. m to before me this ............ [ ......... or ...................... S. try Public .... ~. . County (Signature of applicant)